Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Denison Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
123 N US HIGHWAY 75, DENISON, TX 75020-1544
(903) 337-0731
(903) 465-1659
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
007114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094285601
—
TX
05
—
100709360A
—
OK
Enumeration date
04/10/2006
Last updated
02/24/2025
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